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Food Safety Behaviors and Consumer Education: Focus Group Research
Food Safety Behaviors and Consumer Education: Focus Group Research
OMB: 0583-0173
IC ID: 229872
OMB.report
USDA/FSIS
OMB 0583-0173
ICR 201801-0583-001
IC 229872
( )
Documents and Forms
Document Name
Document Type
Appendix B Mod Guide Set 1_post pilot.docx
Other-moderator guide questions
Appendix A English and Spanish Screener Set_updated_3_9_18.doc
Other-screening questionnaire
Appendix C Screener Set 2_updated_3_9_18.doc
Other-screening questionnaire 2
Appendix D Mod Guide Set 2_updated_3_9_18.docx
Other-moderator guide questions 2
Appendix G IRB Approval Form_9_25_17.pdf
IRB Approval Form
IC Document
Appendix E English and Spanish Consent_Form_Set 1_updated_3_9_18.doc
English and Spanish consent form
IC Document
Appendix F Consent_Form_Set 2_updated_3_9_18.doc
Consent Form Set 2
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Food Safety Behaviors and Consumer Education: Focus Group Research
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-moderator guide questions
Appendix B Mod Guide Set 1_post pilot.docx
No
Paper Only
Other-screening questionnaire
Appendix A English and Spanish Screener Set_updated_3_9_18.doc
No
Paper Only
Other-screening questionnaire 2
Appendix C Screener Set 2_updated_3_9_18.doc
No
Paper Only
Other-moderator guide questions 2
Appendix D Mod Guide Set 2_updated_3_9_18.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,125
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,125
0
2,125
0
0
0
Annual IC Time Burden (Hours)
681
0
681
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IRB Approval Form
Appendix G IRB Approval Form_9_25_17.pdf
01/26/2018
English and Spanish consent form
Appendix E English and Spanish Consent_Form_Set 1_updated_3_9_18.doc
03/12/2018
Consent Form Set 2
Appendix F Consent_Form_Set 2_updated_3_9_18.doc
03/12/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.